I called and spoke to Hailey, who was extremely nice and so helpful! She listened to my situation and helped me figure out what tush cushion would work best for me. She recommend to have it custom made, to add some additional padding and straps to secure the cushion better. I have a spinal cord injury and was in need of a cushion to protect my tailbone after I bruised it the last time I rode. I ordered the cushion on Tuesday and received it Friday! I am so impressed, I can hardly wait to try it out and I will send another review after I do and let you know how it worked.